| Michael T Reilly Md Pa | |
|
1201 5th Ave N St Petersburg FL 33705-1400 | |
| (727) 821-1132 | |
| (727) 822-2977 |
| Full Name | Michael T Reilly Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1201 5th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Michael Timothy Reilly (PRESIDENT) |
| Authorized Official Contact | 7278211132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Reilly Md Pa 1201 5th Ave N St Petersburg FL 33705-1400 Ph: (727) 821-1132 | Michael T Reilly Md Pa 1201 5th Ave N St Petersburg FL 33705-1400 Ph: (727) 821-1132 |
| NPI Number | 1144612623 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 02/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144612623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME32973 (Florida) | Primary |
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